Pediatric anesthesia & critical care

Perioperative Outcomes for Children With Cardiomyopathy Undergoing Noncardiac Procedures

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

Anesthesia in children with cardiomyopathy is associated with a low (< 2%), but notable, rate of major adverse events. The risk of major adverse events appears to be highest in children with marked left ventricular dysfunction and was often associated with respiratory events in our cohort.

Study context

Population
Children with cardiomyopathy undergoing procedures or diagnostic studies requiring anesthesia
Participants
98 children · 231 procedures
Outcome
Perioperative adverse events:
  • Intraoperative
  • 72 h postoperatively
Follow-up
72 h postoperatively
Methodological detailssingle-center
  • Single-center

Main finding

As reported in the abstract

Adverse events

Total adverse events

26

11%

Major adverse events (in 3 distinct patients)

4

Observational data: associations, not effects.

Further findings

Risk factors for adverse events

ASA-PS class 4 associated with increased likelihood of any adverse event
All patients with major adverse events had moderate or greater left ventricular dysfunction

Original publication

Perioperative Outcomes for Children With Cardiomyopathy Undergoing Noncardiac Procedures. Paediatr Anaesth. Published 2 May 2025. doi:10.1111/pan.15120

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